Refractory Epilepsy, SLC35A2-CDG - Solute Carrier Family 35 Member A2 Congenital Disorder of Glycosylation
Conditions
Brief summary
Mild malformation of cortical development with oligodendroglial hyperplasia in epilepsy (MOGHE) is a new entity frequently associated with refractory epilepsy and neurodevelopmental disorders. Recently, it has been associated to SLC35A2 (Solute Carrier Family 35 Member A2) brain mosaic pathogenic variants. In addition, patients with germline SLC35A2 pathogenic variants improve with galactose supplementation. Therefore, the investigators aim to elucidate whether d-galactose as an add-on treatment might improve epilepsy and developmental outcomes in patients with MOGHE.
Interventions
Galactose supplementation, once per day, up to 1.5g/kg per day
Sponsors
Study design
Intervention model description
Before-and-after pilot clinical trial with a single group
Eligibility
Inclusion criteria
* MOGHE diagnosis at histopathological examination of the epilepsy surgery tissue. * Epilepsy refractoriness or ongoing epileptiform activity at EEG.
Exclusion criteria
* Allergy to galactose or supplement components.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Seizure frequency | 6 months | Seizure diary |
| Epileptiform activity at EEG | 6 months | Epileptiform activity quantification (per epoch) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Behavioral assessment | 6 months | Teacher and Parent Rating Scale (SNAP-IV) and Conners Continuous Performance Test (CPT-II) |
| Cognitive assessment | 6 months | Evaluated with Wechsler Intelligence Scale for Children (WISC-IV) and Behavior Rating Inventory of Executive Function-2 (BRIEF-2) |
Countries
Spain